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P 379 765 577 <br /> us Postal Servlc�� <br /> Receipt fcs`r� i' fi�� il' <br /> �Alnlnciirnnrs.L'.nvarann <br /> SHLUIBHAI RANCMOD <br /> P 0 8647 <br /> STOCGiUON CA 95208 <br /> Postage $ <br /> Certified Fee <br /> Special Delivery Fee <br /> Restricted Delivery Fee <br /> In <br /> Return Receipt Showing to <br /> Whom&Date Delivered <br /> Q Return Receipt Showing to Whom, <br /> Q Date,&Addressee's Address <br /> O TOTAL Postage&Fees $ <br /> eo <br /> M Postmark or Date <br /> 0 <br /> LL <br /> a <br /> SEND I also wish to receive the <br /> o ■Comp a ite ns 1 or 2 for additional services. following Services(for an <br /> H ■complete items 3,4a,and 4b. n return is <br /> d ■Print your name and address on the reverse o this form so extra f R 21 • L <br /> U) <br /> card to you. c 3 do not 1. ❑ Addressee's A ress t <br /> Attach this form to the front of the mailpiec <br /> permit. low u 2. ❑ Restricted Delivery t°1n <br /> ■Write'Return Receipt Requested'on them pie a <br /> ■The Return Receipt will show to whom the icle was de vere d and the date Consult postmaster for fee. <br /> c delivered. <br /> Article Num�L <br /> o vv <br /> � 3.Article Addressed to:, <br /> L <br /> Q SHANJIBHAI RAZCHHOD 4b.Service Type m <br /> 0 P 0 BOX 8647 ❑ Registered Certified rn <br /> STOCI�.jON CA 95208 ❑ Express Mail Insured <br /> w ❑ Return Receipt for Merchandise ❑ COD 0 <br /> Crq <br /> I= <br /> 7.Date of Delivery 1 0 <br /> 0 0 <br /> Q T <br /> Z Y <br /> B.Addressee' ddress(Only if requested 0 <br /> 5.Received By:(Print Name) A <br /> and fee is d) L <br /> F- <br /> W <br /> D: <br /> 6.Signature: dressee or Age <br /> X Domestic Return Receipt <br /> PS Form 811, December 1994 <br />